Vision coverage is administered by Vision Service Plan (VSP) using their Choice network. When you enroll, you receive coverage for exams, frames and lenses. Even if you don’t currently wear glasses or contacts, routine vision care is an important part of your overall health.
Benefits are available once every 12 months based upon date of service.
Benefits are available once every 12 months based upon date of service.
| Covered Services/Material | VSP Provider and Affiliate Provider* You Pay |
Non-VSP Provider You are Reimbursed |
| Exams | $10 copay | Up to $65 |
| Lenses | ||
| Single lenses | $25 copay** | Up to $31 |
| Lined bifocal | Up to $50 | |
| Lined trifocals | Up to $65 | |
| Frames*** |
$25 copay** Allowance: $200 $110 at Costco / Walmart / Sam’s Club $150 to $160 at all other affiliates |
Up to $70 |
| Elective Contact Lenses | Up to $60 copay for contact lens exam (fitting and evaluation) $200 allowance |
Up to $135 |
*Coverage with a retail chain affiliate may be different, please visit www.vsp.com or call 800-877-7195 for more details.
**If a member purchases both lenses and frames together at an in-network provider, only one $25 copay will apply.
***You can choose either glasses (lenses and frames) or contacts with this benefit. However, you may be eligible for a discount on the other option (glasses or contacts) you didn’t choose.
**If a member purchases both lenses and frames together at an in-network provider, only one $25 copay will apply.
***You can choose either glasses (lenses and frames) or contacts with this benefit. However, you may be eligible for a discount on the other option (glasses or contacts) you didn’t choose.
VSP Providers
The level of coverage depends on whether you use a VSP provider, an affiliate provider or a non-VSP provider. For a list of doctors participating in the VSP network, contact VSP at 800-877-7195 or go to www.vsp.com and click on Find a Doctor.
If you use a non-VSP provider, you will be responsible to pay for services and materials up front and then submit a claim form to VSP for reimbursement. You will be reimbursed up to the maximum allowance indicated in the chart above.
If you use a non-VSP provider, you will be responsible to pay for services and materials up front and then submit a claim form to VSP for reimbursement. You will be reimbursed up to the maximum allowance indicated in the chart above.
VSP Extras
Check out all the extras VSP has to offer:
- Savings on laser surgery
- Discounts on hearing aids
- Upgrades, enhancements, additional services and material
Important Information
- Benefits are based on a rolling 12-month period and do not reset each calendar year. For example, if you purchased contact lenses in May 2024, you’ll need to wait until May 2025 to purchase them again.
- VSP does not issue individual member ID cards. Instead, provide your Social Security number to your eye care provider at the time of service.
- If you need prescription safety glasses, please contact the Health and Safety Department at 800-877-7195.
Cost of Coverage
Review the bi-weekly premiums below for vision coverage:
| Vision Plan | |
| Employee Only | $3.51 |
| Employee + Spouse | $7.03 |
| Employee + Child(ren) | $7.52 |
| Employee + Family | $12.01 |